Cialis: All You Need To Know
Cialis, also known as Tadalafil or Adcirca, is a popular erectile dysfunction drug that has gained notoriety and usage over the last few decades or so. While primarily used for impotence, it’ can also be used for pulmonary arterial hypertension and helps the artery blood vessels to open up . It’s also used for benign prostate hyperplasia (enlargement of the prostate) , and other prostate and circulation problems.
History of Cialis
Tadalafil was originally developed by the Glaxo Wellcome in 1991, in partnership with ICOS . It was originally developed as a heart medication. Around the same time a competing pharmaceutical company, Pfizer, was developing a similar product known as Sildenafil, more commonly known as Viagra. During clinical tests, they noted that male patients tended to get erections as a side effect of the drug. ICOS later partnered with Eli Lilly and Company to further develop it further. It, along with Viagra was approved by the FDA for customer use in 2003, and was approved for treatment of pulmonary arterial hypertension in 2009.
How Cialis works
Cialis works by blocking a chemical known as PDE5. When a man gets an erection, the blood vessels in his penis dilate, allowing it to fill with blood. During stimulation, Nitric Oxide is released into the genitals.This causes a substance know as cGMP to be released. PDE5 destroys cGMP, causing arousal to end. Thus, Cialis combats this process. The walls of artery muscles also contain PDE5, which is why it works well for cardiovascular issues in addition.
Doses usually come in 5,10 and 20 milligram doses. The pills tend to be yellow in color, and are almost always almond shaped. It is favored by some over Viagra due to it’s longer effectiveness of 17-18 hours. Sildenafil, by comparison, only has a half life of 4 to 5 hours. Contrary to popular belief, Cialis does not give one an “instant erection”. Sexual stimulus must still take place for it to be effective. It’s also not recommended to take more than one dose in a 24 hour period, and for daily use, no more than 2.5 to 5 mg for someone sexually active at least twice a week, unless recommended by a physician or general practitioner .
Side effects vary, but the most common seem a prolonged erection and a sudden drop in blood pressure, more commonly known as hypertension. Priapism, an erection that lasts 4 fours or more, is very dangerous and can cause permanent damage to the genitals. They should also not be mixed with nitrate medication, as they can cause heart and chest problems. In some people, it can cause sudden blindness and restrict blood flow to the optic nerve. This is most common in diabetics and people with high cholesterol/heart disease.It’s also not recommended for use by anyone with general heart,kidney, liver or eye problems.
As mentioned earlier, many prefer Cialis to Viagra due to it’s longer duration of effectiveness. But other factors are also in play as well. Food and duration after meals tends to effect the usefulness of Viagra, where as with Cialis it does not. Also, Cialis is a once daily pill, which many prefer to constantly re-dosing with Viagra, which is a “take as needed” solution that may not be preferable. One factor in Viagra’s favor however, is it’s less likelihood of negative reactions for men with kidney or liver dysfunction. Finally, Cialis tends to be cheaper on the whole, starting at about .50 for a 5 mg tablet, all the way up to $ 28 for a 20 mg.
Viagra comparatively starts at for a 50 mg pill, up to for a 100 mg tab.
Where to buy in South Africa?
In South Africa, both Viagra and Cialis require a prescription to purchase. Many other places, such as neighboring Australia and the UK offer generic over the counter versions, albeit requiring consultation with a trained pharmacist among other things. Despite this, many men purchase it online as an alternative. This is highly dangerous, as there is no guarantee where it was made or where it was shipped from, along with being highly illegal to receive. There are currently no plans to implement an over the counter version of Cialis at this time.
I am a doctor working in Cape town.
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As far as to my knowledge humans are the only species who suffer from ailments related to sex. This might be a factor resulting from lifestyle habits, which I think we (humans) have altered ourselves to a great extent away from the biological evolution which has molded us since time immemorial.
But modern science has paved way to overcome these bottlenecks by formulating certain drugs which enhances our sex drive. One amongst those drugs is Tadalafil which increases the flow of blood to the penis and achieves and maintains erection sufficient for better sexual activity. The prevalent name which is common among people for this drug is Cialis, unlike the Pink Pill which is a recent invention to increase sexual desire in women, Cialis focuses on sexual stimulation alone. It is also used to treat symptoms of benign prostatic hyperplasia (BPH) in men with enlarged prostates, in laity it helps to relieve from conditions like frequent urination, alleviates pain while urinating, or the sensation of not completely emptying the bladder.
Cialis usually is in the form of 2mg yellow-orange, almond-shaped, film-coated tablet, marked on one side with C2, another variant is composed of 5mg which is marked as C5. The above mentioned variants are normally prescribed for once-a-day dosage. For on demand dosing the pill comes as 10 and 20mg with C10 and C20 marked on them respectively. Doctors recommendation varies accordingly, as in for on demand the dosage would be 20 mg as required at least 30 minutes prior to having sex.
The effect starts after 30 minutes and is said to last for up to 36 hours depending on the person’s time interval post consumption and the time taken to start sexual activity. On a cautionary note only one tablet is recommended per day. In the case of the variants under once-a-day usage it is advised to be at about the same time each day and regardless of when sexual activity is planned. This might be lowered by the doctor on necessity either with or without food.
There are certain factors which makes this pill deadly, as in body weight and other medical conditions like vision loss called nonarteritic anterior ischemic optic neuropathy (NAION). Also people who take Nitrate medication in any form (oral, sublingual [under the tongue], skin patch, or spray) which is used to treat chest pain must refrain from taking this pill to avoid sudden severe drop in blood pressure that could lead to dizziness, fainting, heart attack, or stroke. Certain side effects which are temporary or permanent like back pain, facial flushing, headache, indigestion or stomach discomfort following meals, muscle ache and nasal congestion. Although only 1% of them have experienced these above mentioned effects they may lead to serious problems if left from seeking medical attention from the concerned doctors. Grapefruit juice consumption increases tadalafil in our blood, so it is better to refrain taking the pill while drinking grapefruit juice. In some rare cases people had experienced loss of hearing. People who is under medication for heart conditions must seek doctor’s advice before taking Cialis.
I am a doctor working in Cape town.
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There was a time when a man with erectile dysfunction would suffer in silence, ashamed to take the problem to his doctor and aware also that even if he managed to summon the courage to do so there would be very little that could be done. This could lead to depression, anxiety and in the worst case scenario a complete breakdown of the relationship between the man and his partner.
In previous times the market has been flooded with phony treatments for this most embarrassing of masculine problems and most of them have been simple quackery, promising things that they were not able to deliver and charging a King’s ransom into the bargain penis pumps, tablets that were mere placebos, creams that were never going to be effective and might even prove harmful.
Perhaps you find this a difficult subject to broach with your partner and perhaps it is even driving you apart? Perhaps your partner does not know how to raise the subject with you because he or she knows how very difficult it is for you? There is absolutely no need for it to drive a wedge into your relationship. Whatever your age or relationship status, help IS at hand.
Happily we live in a new age these days and there are a new generation of treatments available for male erectile dysfunction
There is no need for this condition to be humiliating, degrading or something that is talked about only in hushed whispers, if it is talked about at all. Cialis is an easy to use, low side effect medication that works very quickly and will guarantee satisfaction for both yourself and your partner. Your doctor will be familiar with it, may even have personal experience of it! – and will be able to reassure you that it is not only safe to use but that it can and will help to put the zing back into your sex life.
Cialis is taken orally and can be obtained both by prescription or by purchasing online
There are no restrictions on its purchase on on its prescription. It is inexpensive and fast working and can be taken on a regular basis with no potential harm done. One small tablet will start working within the hour and the effects will last as long as you need them to, with no uncomfortable side effects or after effects.
Why Cialis is the best way to treat erectile dysfunction?
Erectile dysfunction is not a thing that any man should be ashamed or embarrassed about and Cialis is the best way for men who are thus afflicted to realise this fact. When you take this tablet you can do so in the full knowledge that you are most certainly not the only man doing so. Perhaps your best friend takes it also, or your brother or your colleague or your boss? But of course, until now, no-one has felt even slightly comfortable or happy discussing this fact.
The most important words to remember where this drug is concerned are effective, safe, cheap and reliable, not to mention well tested. Hundreds of thousands of men can and will attest to this drug’s effectiveness. Can anybody really put a price on saving their relationship and their self esteem? Would anyone really want to?
How to have the best night of your life with Cialis?
Heart disease and diabetes are known to be the leading killers of men around the world. For men living in Australia, the trend is just as bad and getting worse. These diseases facts should not be a surprise, but what if I told you erectile dysfunction ties in with these top killers? In this article, we are going to explore the connection between erectile dysfunction and health conditions. In addition to that, we are going to show you how to protect yourself from the damaging effects of ED and why you should consider Cialis for treatment. If you are worried about erectile problems, then you’ve come to the right place.
More than two million Australians get diagnosed with erectile problems every year. These numbers are rising at a higher rate than experts thought possible. The number of cases 10 years ago did not make it to the hundred thousand marks. It leaves a lot of pundits wondering what has caused such a spike in cases? The answer isn’t simple, but a lot of it points to poor diet and lack of physical activity. It is safe to say the average man consumes a large number of processed foods. Think of things like chips, candy, cakes, and low-quality meat. These types of food are easy on the wallet but are hard on the body.
The average guy has no clue what is in their processed foods, so what I am about to disclose will shock you
The next time you open that bag of chips, check the bag. If you see the words preservatives, artificial flavor, or something you cannot pronounce, then its not real food. You are eating a mixture of chemicals designed to make whatever you are eating edible enough for consumption. You will find these words on almost all packages of candy, cake, and even meat. Chances are you’ve been eating this stuff for years without a clue.
So what do these chemicals do?
To put it in simple terms. It rots your insides
The arteries in your body become restricted with plaque build-up. When blood flow is slowed or cut off it causes erectile dysfunction. Erectile problems are the first warning sign your body gives you before you start to develop heart problems. In most cases, men think erectile dysfunction is a natural part of life. It is a myth that has been spread among men for so long that it is considered to be true. When erectile problems come into play it is hard to reverse. This is where Cialis comes into play.
Cialis works by relaxing the blood vessels in the body.
In addition to that, it widens the arteries to allow more blood flow. This reaction allows men the ability to form natural erections again. However, this isn’t the only thing Cialis does to help the body. Studies have shown that Cialis has properties that protect the heart. Also, the medication has been proven to increase the physical performance of its users by a moderate amount. So much so that experts compare taking 20mg of Cialis to a small injection of testosterone. Cialis does require a doctor’s visit and a prescription, but it is worth the hassle. Talk to your doctor about Cialis today.
I am a doctor working in Cape town.
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